Individual
KELSEY AMANDA RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 968-2060
Mailing address
3479 COVINGTON PARKWAY AVE, SAINT CHARLES, MO 63301-4098
(636) 288-7922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7634
KY
Other
Enumeration date
03/23/2016
Last updated
02/06/2019
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